2/16/10 3 Anxiety Disorders  are the most frequent psychological disorders  may lead to high levels of medical and psychological comorbidity Major forms of anxiety disorders  Generalized anxiety disorder  Panic disorder  Social anxiety disorder  Posttraumatic stress disorder Prevalence and treatment  symptoms may affect 30% of the general population  only 15-36% of affected individuals are treated

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2/16/10 4 Insomnia types  may be acute with sudden onset in people without a history of insomnia  may be a chronic problem for some individuals Insomnia symptoms (may have one, some, or all)  trouble falling asleep  trouble staying asleep  sleep not restorative (lack of feeling rested after sleep)  considered insomnia if any of the symptoms last >1 month Insomnia causes, prevalence, and treatment  causes are multi-factorial including:  physical issues like pain or illness  response to the use of some drugs  response to strenuous exercise in sensitive individuals  result of psychological issues  poor sleep environment (e.g. noisy)  Insomnia affects ~64 million in U.S. each year  for both Anxiety and Insomnia a combination of pharmacotherapy and psychological therapy works best